All-Purpose Lactation Ointment

Dr. Jack Newman’s All-Purpose Nipple Ointment (APNO)

Nipple tenderness is common when a baby first latches on, especially during the first few weeks of breastfeeding with a new baby.  But nipple pain that does not go away and causes you to dread the thought of breastfeeding indicates something more serious is going on.  Make an appointment with a lactation consultant.  Don’t wait around to see if it resolves on its own.  The sooner you can feel more comfortable and get back to breastfeeding, the better it will be for you and your baby.

Nipple pain from breastfeeding can be caused by a variety of reasons including: poor latching, bacterial or yeast infections, and other skin conditions such as mastitis.  Nipple pain is not only uncomfortable for a nursing mother, but it is often one of the primary reasons women decide to stop breastfeeding early.

One treatment option to make breastfeeding more comfortable is the use of Dr. Jack Newman’s All Purpose Nipple Ointment (APNO) formulation.

What is All Purpose Nipple Ointment (APNO)?  This special ointment formulation was developed in Canada by Dr. Jack Newman, a pediatrician and preeminent breastfeeding researcher, and the founder of the International Breastfeeding Centre in Toronto.  He has been instrumental in helping breastfeeding mothers for the last several decades and is the author of the definitive book on breastfeeding called Dr. Jack Newman’s Guide to Breastfeeding.

APNO contains three ingredients: an antibiotic (mupirocin), and anti-fungal agent (miconazole), and a topical anti-inflammatory (betamethasone).  The combination of these three ingredients helps soothe and heal sore nipples and reduces the incidence of bacterial infections (a common cause of mastitis) and CandidaCandida is the yeast that can cause thrush in the mouths of infants.  The topical anti-inflammatory ingredient helps reduce local pain and swelling.

How to Use Your Nipple Ointment:  Apply a thin film of ointment to the nipples and areola after each breastfeeding session. If applied sparingly, it is not necessary to wash this ointment off before the next feeding.  Using a very small amount of ointment and not allowing any visible excess to remain on the surface of the skin will not harm you’re your baby, even if they want to nurse again right away.  The key is using the ointment sparingly at frequent intervals, instead of slathering it on occasionally.

You should begin to see (and feel) results within a few days, but you can continue to use the ointment for two to three weeks if needed.   As with all medications, use APNO for the least amount of time as possible. If your condition does not improve in two to three weeks, you should go back to see your prescriber. The prescriber can reevaluate the situation and discuss other treatment options.

Click here to download a pre-printed prescription to discuss with your prescriber.